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Ignoring the problem may not resolve the problem. Mitral valve prolapse is often a benign condition, but it can get worse without proper monitoring, explains Dr. Mark Miller. In this podcast, Dr. Miller talks about the importance of treating mitral valve prolapse and the journey to recovery from a heart attack.

[00:00:00] stephen calabria: From Mount Sinai Health From the Mount Sinai Health System in New York City, this is Road to Resilience, a podcast about facing adversity. I’m Steven Calabria. In today’s episode, we delve into matters of the heart.

[00:00:13] Also participating will be Mark Miller, M.D., a pioneering cardiologist and electrophysiologist and associate professor of cardiology at the Icahn School of Medicine at Mount Sinai. Dr. Miller will discuss his own experience treating patients with heart attacks and cardiac arrest, as well as his and his colleagues at Mount Sinai’s research into heart disease, which affects millions of people worldwide. Masu.

[00:00:34] Arrhythmogenic mitral valve prolapse is a disease in which the valve between the left atrium and left ventricle of the heart functions abnormally, which can lead to cardiac arrest even in asymptomatic patients.

[00:00:44] The disease has received a lot of attention recently, becoming the focus of national news programs, due in part to tragic, high-profile cases that have prompted national policymakers and scientists to take action.

[00:00:57] Dr. Miller and his colleagues are at the forefront of clinical research, helping to identify patients most at risk for this disease. We’re excited to welcome Dr. Miller to the show.

[00:01:08] Dr. Mark Miller, welcome to Road to Resilience.

[00:01:12] mark miller: Thank you for inviting me.

[00:01:13] stephen calabria: Now, you’re a cardiologist and an electrophysiologist. What is the difference between a cardiologist and an electrophysiologist?

[00:01:22] mark miller: This means that general cardiologists generally look out for and treat cardiovascular diseases such as cholesterol, high blood pressure, and in some cases heart failure.

[00:01:33] Many precautions to prevent future heart attacks. Cardiac electrophysiologists focus specifically on heart rhythm disorders. So, for example, we train in general cardiology and then do a few more years of training in heart rhythm disorders.

[00:01:51] And this basically includes treatments like catheter oblations, pacemaker implants, defibrillator implants.

[00:02:00] stephen calabria:What attracted you to this job?

[00:02:02] mark miller: It was a new language for me. Some people specialize further after completing general cardiology, but for me it was an incomprehensible world and literally learning a whole new language, and that’s what appealed to me.

[00:02:16] stephen calabria: What percentage of the population do you think suffers from heart rhythm disorders?

[00:02:22] mark miller: Actually a significant percentage of the population. The most common arrhythmia we treat is something called atrial fibrillation, which probably 20 to 30 million Americans know about, and probably another 10 to 20 million. How many Americans still don’t know they have atrial fibrillation?

[00:02:39] Therefore, it is a very common condition. So the patient population that we evaluate is actually quite large.

[00:02:46] stephen calabria: Now, Doctor, as a cardiologist, I think you’ve had to fight a lot with cardiac arrest, which is often confused with heart attacks. Is there a difference between cardiac arrest and heart attack?

[00:03:00] mark miller: Yes, it’s actually irrelevant. A heart attack usually means a blockage in the heart’s arteries that causes damage to part of the heart muscle. That’s a heart attack.

[00:03:13] Cardiac arrest is an electrical phenomenon in which the heart stops in what is called a heart block, or more often, goes into what is called ventricular tachycardia or ventricular fibrillation. Ventricular tachycardia, or ventricular fibrillation, is when the heart is beating so fast that it cannot perfuse the rest of the body with blood. of a body.

[00:03:31] I mean, a heart attack is what you often think of when someone grabs your chest and says, “My chest hurts,” but a cardiac arrest is something you’ve probably seen on video or on EMS, where someone suddenly collapses. That’s when it happened. For example, when an AED defibrillation or electric shock is required.

[00:03:50] Now, a heart attack can cause cardiac arrest, but cardiac arrest usually does not cause a heart attack.

[00:03:57] stephen calabria: From a bird’s eye view. What are the most likely causes and symptoms of a heart attack?

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